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考察心理社会安全氛围对医疗服务提供者工作条件、幸福感和安全的影响:一项范围综述

Examining the impact of psychosocial safety climate on working conditions, well-being and safety of healthcare providers: a scoping review.

作者信息

Amoadu Mustapha, Agyare Dorcas Frempomaa, Doe Patience Fakornam, Abraham Susanna Aba

机构信息

Biomedical and Clinical Research Centre, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, Ghana.

Department of Adult Health, School of Nursing and Midwifery, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, Ghana.

出版信息

BMC Health Serv Res. 2025 Jan 16;25(1):90. doi: 10.1186/s12913-025-12254-2.

Abstract

BACKGROUND

In contemporary healthcare systems, the well-being and safety of healthcare providers are pivotal for sustaining a resilient healthcare system. The concept of Psychosocial Safety Climate (PSC) emerges as a crucial framework influencing job design and employee perceptions in organisational settings, although its application within healthcare settings remains relatively underexplored. The aim of this review was to explore the buffering effect of PSC and its impact on working conditions, well-being and performance.

METHOD

This scoping review followed Arksey and O'Malley's recommendations and PRISMA-ScR reporting checklist. Databases, including PubMed, Scopus, Central, JSTOR, and additional online sources such as Google Scholar were searched. Only peer-reviewed studies published in English that have measured PSC using PSC-12 or PSC-4 were included in this study.

FINDINGS

High PSC environments correlated with enriched job resources, fostering resilience, positive job performance, and reduced job demands. Conversely, low PSC settings were linked to increased job demands, compromised well-being, and adverse job performance outcomes. Notably, PSC acted as a buffer, mitigating the negative impacts of high job demands on well-being and reinforcing positive associations between job resources, support, and performance facets among healthcare professionals.

CONCLUSION

This review highlights the pivotal role of PSC in shaping the work environment, well-being, and performance of healthcare providers. Prioritising PSC within healthcare settings is crucial to safeguarding the well-being of healthcare providers and improving patient outcomes. Future research should further explore the relationships between PSC, burnout, and other influencing factors, employing diverse methodologies to capture its comprehensive impact within healthcare settings.

摘要

背景

在当代医疗体系中,医疗服务提供者的福祉与安全对于维持一个有韧性的医疗体系至关重要。心理社会安全氛围(PSC)的概念作为一个关键框架出现,影响着组织环境中的工作设计和员工认知,尽管其在医疗环境中的应用仍相对未被充分探索。本综述的目的是探讨PSC的缓冲作用及其对工作条件、福祉和绩效的影响。

方法

本范围综述遵循了阿克西和奥马利的建议以及PRISMA-ScR报告清单。搜索了包括PubMed、Scopus、Central、JSTOR等数据库以及谷歌学术等其他在线资源。本研究仅纳入了以英文发表的、使用PSC-12或PSC-4测量PSC的同行评审研究。

结果

高PSC环境与丰富的工作资源相关,促进了适应力、积极的工作绩效,并减少了工作需求。相反,低PSC环境与工作需求增加、福祉受损以及不良的工作绩效结果相关。值得注意的是,PSC起到了缓冲作用,减轻了高工作需求对福祉的负面影响,并加强了医疗专业人员中工作资源、支持与绩效方面之间的积极关联。

结论

本综述强调了PSC在塑造医疗服务提供者的工作环境、福祉和绩效方面的关键作用。在医疗环境中优先考虑PSC对于保障医疗服务提供者的福祉和改善患者结局至关重要。未来的研究应进一步探索PSC、职业倦怠和其他影响因素之间的关系,采用多种方法来捕捉其在医疗环境中的全面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79e4/11737061/08a8722a7e81/12913_2025_12254_Fig1_HTML.jpg

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